Prevalence and clinical and psychological correlates of high fear of cancer recurrence in patients newly diagnosed with head and neck cancer

被引:36
|
作者
Mirosevic, Spela [1 ]
Thewes, Belinda [2 ]
van Herpen, Carla [3 ]
Kaanders, Johannes [4 ]
Merkx, Thijs [5 ]
Humphris, Gerry [6 ]
de Jong, Robert J. Baatenburg [7 ]
Langendijk, Johannes A. [8 ]
Leemans, C. Rene [9 ]
Terhaard, Chris H. J. [10 ]
Verdonck-de Leeuw, Irma M. [9 ,11 ]
Takes, Robert [12 ]
Prins, Judith [2 ]
机构
[1] Univ Ljubljana Fac Med, Dept Family Med, Poljanski Nasip 58, Ljubljana 1000, Slovenia
[2] Radboud Univ Nijmegen, Med Ctr, Dept Med Psychol, Nijmegen, Netherlands
[3] Radboud Univ Nijmegen, Med Ctr, Dept Med Oncol, Nijmegen, Netherlands
[4] Radboud Univ Nijmegen, Med Ctr, Dept Radiat Oncol, Nijmegen, Netherlands
[5] Radboud Univ Nijmegen, Med Ctr, Dept Maxillofacial Surg, Nijmegen, Netherlands
[6] Univ St Andrews, Sch Med, St Andrews, Fife, Scotland
[7] Erasmus MC, Erasmus Canc Inst, Dept Otolaryngol & Head & Neck Surg, Rotterdam, Netherlands
[8] Univ Groningen, Univ Med Ctr Groningen, Dept Radiat Oncol, Groningen, Netherlands
[9] Vrije Univ Amsterdam, Med Ctr, Dept Otolaryngol Head & Neck Surg, Amsterdam, Netherlands
[10] Univ Med Ctr, Dept Radiotherapy, Utrecht, Netherlands
[11] Vrije Univ Amsterdam, Dept Clin Psychol, Amsterdam, Netherlands
[12] Radboud Univ Nijmegen, Med Ctr, Dept Head & Neck Oncol, Nijmegen, Netherlands
[13] Vrije Univ Amsterdam Med Ctr, Afdeling KNO, Project Kubus, Amsterdam, Netherlands
关键词
anxiety; depression; fear of recurrence; head and neck cancer; smoking; QUALITY-OF-LIFE; SUPPORTIVE CARE NEEDS; PROSTATE-CANCER; DUTCH VERSION; MENTAL-DISORDERS; TOBACCO USE; 1ST YEAR; ANXIETY; DEPRESSION; SURVIVORS;
D O I
10.1002/hed.25812
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background Patients with head and neck cancer (HNC) are vulnerable to fear of cancer recurrence (FCR) and psychiatric morbidity. We investigated the prevalence of high FCR and demographic, clinical, psychological, and psychiatric factors associated with high FCR prior to the start of the treatment. Methods In a cross-sectional substudy of the large ongoing prospective NET-QUBIC study questionnaires and psychiatric interviews of 216 patients newly diagnosed with HNC were analyzed. Results High FCR was observed in 52.8% of patients and among those 21.1% also had a lifetime history of selected anxiety or major depressive disorder. FCR was not related to any clinical characteristics; however, younger age, higher anxiety symptoms, introversion, greater needs for support regarding sexuality, and being an exsmoker were significantly associated with higher FCR. Conclusion Factors associated with high FCR provide us with a better conceptual understanding of FCR in patients newly diagnosed with HNC.
引用
收藏
页码:3187 / 3200
页数:14
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